Efficacy of Intravenous Tenecteplase Bridge Thrombectomy for Recurrent Ischemic Stroke Within 3 Months: A Case Report

Cuicui Liu, Junyan Liu, Huiling Ren, Yuzhu Xu, Wanhu Liu Department of Neurology, The Third Hospital of Hebei Medical University, Shijiazhuang, People’s Republic of ChinaCorrespondence: Wanhu Liu, Department of Neurology, The Third Hospital of Hebei Medical University, 139 Ziqiang Road, Shijiazhuang...

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Main Authors: Liu C, Liu J, Ren H, Xu Y, Liu W
Format: Article
Language:English
Published: Dove Medical Press 2025-02-01
Series:International Medical Case Reports Journal
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Online Access:https://www.dovepress.com/efficacy-of-intravenous-tenecteplase-bridge-thrombectomy-for-recurrent-peer-reviewed-fulltext-article-IMCRJ
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author Liu C
Liu J
Ren H
Xu Y
Liu W
author_facet Liu C
Liu J
Ren H
Xu Y
Liu W
author_sort Liu C
collection DOAJ
description Cuicui Liu, Junyan Liu, Huiling Ren, Yuzhu Xu, Wanhu Liu Department of Neurology, The Third Hospital of Hebei Medical University, Shijiazhuang, People’s Republic of ChinaCorrespondence: Wanhu Liu, Department of Neurology, The Third Hospital of Hebei Medical University, 139 Ziqiang Road, Shijiazhuang, 050000, People’s Republic of China, Email [email protected]: In the previous guideline recommendations, patients who have had a stroke within 3 months are excluded from intravenous thrombolysis (IVT) regimens. Some studies have suggested that IVT with alteplase (rt-PA) may be effective and safe in such patients, but evidence supporting the use of tenecteplase (TNK) is not sufficient. This paper includes an 80-year-old male patient readmitted for recurrence of ischaemic stroke (IS) after 48 days, who received TNK IVT as a bridging therapy prior to thrombectomy, with favourable results at 8-week follow-up. This case highlights that TNK alone or IVT as a bridging therapy prior to thrombectomy can also benefit patients with recurrent stroke within 3 months.Keywords: intravenous thrombolysis, recurrent ischemic stroke, tenecteplase
format Article
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institution Kabale University
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language English
publishDate 2025-02-01
publisher Dove Medical Press
record_format Article
series International Medical Case Reports Journal
spelling doaj-art-72a9970f095040d0bd3ae177678ff0352025-02-11T17:30:56ZengDove Medical PressInternational Medical Case Reports Journal1179-142X2025-02-01Volume 18235239100012Efficacy of Intravenous Tenecteplase Bridge Thrombectomy for Recurrent Ischemic Stroke Within 3 Months: A Case ReportLiu CLiu JRen HXu YLiu WCuicui Liu, Junyan Liu, Huiling Ren, Yuzhu Xu, Wanhu Liu Department of Neurology, The Third Hospital of Hebei Medical University, Shijiazhuang, People’s Republic of ChinaCorrespondence: Wanhu Liu, Department of Neurology, The Third Hospital of Hebei Medical University, 139 Ziqiang Road, Shijiazhuang, 050000, People’s Republic of China, Email [email protected]: In the previous guideline recommendations, patients who have had a stroke within 3 months are excluded from intravenous thrombolysis (IVT) regimens. Some studies have suggested that IVT with alteplase (rt-PA) may be effective and safe in such patients, but evidence supporting the use of tenecteplase (TNK) is not sufficient. This paper includes an 80-year-old male patient readmitted for recurrence of ischaemic stroke (IS) after 48 days, who received TNK IVT as a bridging therapy prior to thrombectomy, with favourable results at 8-week follow-up. This case highlights that TNK alone or IVT as a bridging therapy prior to thrombectomy can also benefit patients with recurrent stroke within 3 months.Keywords: intravenous thrombolysis, recurrent ischemic stroke, tenecteplasehttps://www.dovepress.com/efficacy-of-intravenous-tenecteplase-bridge-thrombectomy-for-recurrent-peer-reviewed-fulltext-article-IMCRJintravenous thrombolysisrecurrent ischemic stroketenecteplase
spellingShingle Liu C
Liu J
Ren H
Xu Y
Liu W
Efficacy of Intravenous Tenecteplase Bridge Thrombectomy for Recurrent Ischemic Stroke Within 3 Months: A Case Report
International Medical Case Reports Journal
intravenous thrombolysis
recurrent ischemic stroke
tenecteplase
title Efficacy of Intravenous Tenecteplase Bridge Thrombectomy for Recurrent Ischemic Stroke Within 3 Months: A Case Report
title_full Efficacy of Intravenous Tenecteplase Bridge Thrombectomy for Recurrent Ischemic Stroke Within 3 Months: A Case Report
title_fullStr Efficacy of Intravenous Tenecteplase Bridge Thrombectomy for Recurrent Ischemic Stroke Within 3 Months: A Case Report
title_full_unstemmed Efficacy of Intravenous Tenecteplase Bridge Thrombectomy for Recurrent Ischemic Stroke Within 3 Months: A Case Report
title_short Efficacy of Intravenous Tenecteplase Bridge Thrombectomy for Recurrent Ischemic Stroke Within 3 Months: A Case Report
title_sort efficacy of intravenous tenecteplase bridge thrombectomy for recurrent ischemic stroke within 3 months a case report
topic intravenous thrombolysis
recurrent ischemic stroke
tenecteplase
url https://www.dovepress.com/efficacy-of-intravenous-tenecteplase-bridge-thrombectomy-for-recurrent-peer-reviewed-fulltext-article-IMCRJ
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